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Tuesday, December 20, 2016
A New Service!


Injured Workers getting restless at home due to inactivity or lack of purpose?
Unable to provide modified Return to Work options?
Claims dragging on and on?
Worried about compliance, supervision, liability?


TRIUNE Health Group can place and oversee your employees as they continue their rehabilitation.  Your injured worker will be placed in a temporary job that will be appropriate with their medical restrictions.


Utilizing our customized program and ethical approach, we can help you take back control of how injuries are impacting your injured workers, and your business, with positive results!


This program can help your employees regain their confidence to return to the workforce.
     • Create a Culture & Healthy Expectations of Return to Work
     • Accelerate Early Return to Work and Claim Resolution
     • Reduce Lost Time
     • Improve MOD Rate



Contact us to learn more about our new
Temporary Transitional Alternative Duty Program - TTADP for short!
Tuesday, December 13, 2016
Please Welcome!

Blythe Richmond RN
Serving the Chicago Area

Blythe is a Registered Nurse and a graduate of Waubonsee College in Sugar Grove, Illinois. She is a Nurse Case Manager in the greater Chicagoland region.  Blythe has experience as a Workers' Compensation Case Manager for a large national Case Management Company. She has also been instrumental in the training of newly hired Nurse Case Managers due to the successful patient outcomes for the cases she has been assigned. Blythe's strong alliances and collaborative work with injured workers, employers, adjusters, and medical providers has resulted in dramatically shorter claim duration periods, while also greatly influencing positive return to work outcomes.  Blythe is expert in negotiating medical care costs for treatment, equipment, and supplies, as well as proposing cost-saving alternatives without compromising the quality of care for the injured worker.  Blythe's clinical experience includes Rehabilitation Nursing working with physicians, patients, and families to establish long term goals and treatment options.  Blythe is a member of the American Nurses Association and the Illinois Nurses Association. 


We would welcome the opportunity to assist you!
Monday, November 28, 2016
Please Welcome!

 
Lucy Zamora RN
 Bilingual Spanish Nurse - serving the Chicago Area

Lucy is a bilingual Spanish-speaking Registered Nurse and graduate of Malcolm X College in Chicago. She has had experience as a Field Case Manager for a Workers' Compensation insurer where she coordinated appropriate medical services with injured workers and healthcare professionals. Lucy's Clinical background includes evaluating and monitoring patients with neurological impairments. She has directed professional nursing care to both youth and adults while working as a Health Care Liaison. She has also had training in Crisis Intervention and in providing appropriate referrals to specialists. As a Field Case Manager, she has worked to ensure continuity of care by facilitating communication between medical practitioners. At Triune Health Group, Lucy will continue to bring her knowledge and experience to produce optimal return to work outcomes.
Thursday, November 17, 2016

Please Welcome
Faith Tinka RN
Serving Chicago

Faith is a Registered Nurse and a graduate of Richard J. Daley College in Chicago. She has experience managing Workers' Compensation cases for a number of large corporations. Faith's background includes both Field and Telephonic Case Management for Workers' Compensation, Home Health, and Chronic Care cases. Faith has worked to ensure optimal return to work outcomes by effectively acting as liaison between physicians, employers, and workers' compensation insurers. She has also worked collaboratively with a number of multi-disciplinary teams to coordinate effective treatment, evaluate appropriateness of care, and ensure the most cost-effective care plans. Faith has experience consulting with medical professionals and injured workers to obtain modified treatment plans thereby achieving maximum medical improvement and timely return to work outcomes.

We welcome the opportunity to assist you!
Monday, November 14, 2016



Lucy Guttova RN, BSN
Bilingual English / Polish
 
Lucy is a Registered Nurse and has a Bachelor of Science Degree in Nursing from Purdue University, Calumet, Indiana. Lucy is a Medical Case Manager in Workers' Compensation in the Metropolitan Chicago region. Her background includes Telephonic Case Management for Medicare and Medicaid populations, coordinating care with physicians and medical facilities, and educating patients and their families on disease processes, treatment regimens, and recovery times with a focus on health maximization. Lucy worked as a Registered Nurse Supervisor providing Skilled Nursing services for a Post-Operative Acute Rehabilitation Center. Lucy collaborated with patients, physicians, and interdisciplinary teams measuring health outcomes and recommending adjustments to patients' plan of care. She also has experience in Dermatology, Womens' Health and Urogynecology. Lucy was a Staff Registered Nurse in a Plastic Surgery/Hand Specialty practice assisting in Surgery, Pre- and Post-Operative care, and Wound management.

Lucy is fluent in English, Polish, Slovakian, and conversational in Spanish.

We would welcome the opportunity to assist you!
Tuesday, June 7, 2016


Excellence South of I-80

At TRIUNE Health Group our team members are
experienced and professional,
so you can be assured,
we've got this!
 
Our Downstate Illinois team:
serving you with over 150 years of combined experience.
 

4 Easy Options to Submit Your Referral

                                      1. Online at www.triunehealthgroup.com
                                      2. Email info to referrals@triunehg.com
                                      3. Fax claim info or "First Report" to 1.630.586.9441
                                      4. Telephonic submission call 1.800.633.0884
Monday, May 23, 2016


Our professional and experienced team of Bilingual
Nurse Case Managers and Vocational Counselors
are here to assist you!
 
Serving the Workers' Comp industry with over 150 years
of combined experience in Spanish and Polish.


4 Easy Options to Submit Your Referral
2. Email info to referrals@triunehg.com
3. Fax claim info or "First Report" to 1.630.586.9441
4. Telephonic submission call 1.800.633.0884
Thursday, May 12, 2016


When you are a nurse you know that every day
you will touch a life or a life will touch yours.
Author unknown

During National Nurses Week, we would like to say "Thank You" to all the TRIUNE Health Group Nurses - past and present - and every nurse across the industry, who provide such invaluable service and dedication to those in need.
 
Our team of nurses handle thousands of claims,
but because they are mission driven, you are their focus.
 
Experience TRIUNE Health Group, we are...
People Helping People
 
Thank you!
Tuesday, May 10, 2016



We are pleased to announce that Sherri Goessling has returned to TRIUNE Health Group!

Sherri is a Registered Nurse in the states of Missouri and Illinois and is a Certified Case Manager. Sherri has had many years of Workers’ Compensation Case Management experience working for major insurance companies as well as in the private sector.  Her background includes On-Site, Field, and Telephonic Case Management.  Sherri’s Clinical Nursing experience is concentrated in Orthopedics, Spinal Cord Injuries and Plastic Surgery.  Sherri has an extensive background handling a wide range of injuries, including Catastrophic.  She has also worked as a paralegal for a large law firm and is familiar with both Missouri and Illinois Workers’ Compensation law. 
Tuesday, May 3, 2016

Linda Larson-Minar RN
Nurse Case Manager
Serving Iowa

Linda is a Registered Nurse and received her degree in Nursing from Medcenter One College of Nursing in Bismarck, North Dakota. She has worked for a national Workers' Compensation Case Management Company as Field Case Manager facilitating cost-effective, quality care and positive return-to-work outcomes. Linda's strong relationships with adjusters, physicians, and attorneys contribute to the coordination of excellent treatment plans and care for each claimant. Linda also served as Occupational Health Nurse Case Manager for North Dakota's Workers' Compensation Program where she provided Case Management Services and managed disability payments. Her extensive background in hospital-based, in-patient Nursing includes Orthopedics, Neurology-Neurosurgery, caring for patients with head and spinal cord injuries, Psych, Cancer Care, Cardiology, Rehab, as well as Adult, Pediatric, and Neonatal Intensive Care Units. As a Hospital Employee Health Nurse, Linda managed a Risk Reduction Program resulting in a substantial insurance premium credit.   Linda served as preceptor for new nurses and staff and completed testing as a Certified Medical-Surgical Registered Nurse. Linda has experience as an Occupational Health Nurse for a large, national food production facility, has worked in a Family Practice Clinic, and was Charge Nurse in a Long-Term Care facility. Linda is a Field Case Manager in the Central Iowa region.
Monday, April 18, 2016

Monika Dabrowiecka is wrapping up a Job Placement case that was originally referred for a Labor Market Survey. The case was re-opened 7 months later for placement services.

The Injured Worker (IW) was employed as a direct service provider at a not-for-profit requiring heavy lifting in a rural area outside of Champaign, IL.  She had sustained a lower back injury that resulted in a multi-level lower back fusion and was released to sedentary-light work with lifting not to exceed 15 lbs and to be able to change positions every 30 minutes. The IW was a high school graduate and was computer literate. This case was referred 2 ½ years post the date of injury.

The IW was very apprehensive about the Job Placement process and needed extensive Job Seeking Skills Training along with supportive/motivational counseling due to self image issues. The IW had a past remote work history in the areas of customer service, food service, and retail and in the hotel industry. She needed a great deal of prompting to follow-up with employers after interviewing.

Monika was able to keep the IW focused and within 3 months she secured a full-time front desk clerk position at a local hotel. The IW is being paid $1.00 more than her pre-injury wage, and has full benefits after 90 days of employment. The approximate cost for the handling of this case was $7,800.00.

The entire Vocational Team at TRIUNE Health Group would welcome the opportunity to help you on your next case.

Let us show you what we can do!
Wednesday, April 13, 2016
Leida Woodham recently closed the file of a primarily Spanish speaking Injured Worker (IW), who had many years employed as a union tool cutter and grinder. He had worked for the same employer for 27 years and had 9 years of education in Mexico with no computer skills. The IW was originally referred for a Vocational Assessment and Labor Market Survey. At the time of referral, the IW was 4½ years post-injury to his right shoulder and lower back (2 ½ years post MMI). Two shoulder surgeries were completed as part of his treatment and he was released to work at a modified light-medium duty range.

Despite the language barriers, the IW was believed employable in the $10 to $11 per hour range and this was confirmed by the completed LMS. A Rehabilitation Plan was developed and Job Seeking Skills Training (JSST) was completed. The IW noted repeatedly that he understood his responsibilities as part of the agreed to Rehabilitation Plan. An e-mail account was established for the IW and it was noted that his adult children had expressed a willingness to access it for him and to assist him in the job search process.

Despite the IW's stated willingness to be an active participant in the job placement process, and his family's initial openness in assisting him, the situation rather quickly fell apart. Leida became much more active on the file choosing to meet with the IW twice weekly to assist him with internet applications (completed on his behalf with his approval and assistance), to review his e-mail account that he never opened, and to encourage him to network and to job search on his own. He was offered ESL classes and entry level computer classes and failed to enroll in either despite the fact that all of the information was provided to him. There were a total of 11 meetings scheduled and 9 were completed given that the IW cancelled the other 2. The expectations of 25 employer contacts per week were reduced to 4 and, even with this, the IW made only 3 contacts during the entire period. He did not follow up on the leads provided to him, made no follow-up calls on the applications submitted on his behalf, and refused to utilize public transportation when he developed personal transportation issues. Efforts to involve the IW's attorney to resolve the problems were not fruitful.

This file was closed for obvious, non-compliance reasons at an approximate cost of $9,700.00. We prefer to assist people in going back to work, but have no issue in documenting the lack of effort for those that choose not to embrace the effort on their own or with assistance.

The entire Vocational Team at TRIUNE Health Group would welcome the opportunity to help you on your next case.

Let us show you what we can do!
Wednesday, April 6, 2016


Mary Schmit recently closed a case in which a 57-year-old delivery truck driver ended up returning to his pre-injury position. The Injured Worker (IW) had sustained several right knee injuries over many years. In October 2014, the IW was advised he needed a total knee replacement. The IW had not met the physical requirements of his job and was released with a 50-pound lifting restriction.

Mary received the case for Job Placement and completed an Initial Assessment, provided Job Seeking Skills Training, and Rehabilitation Plan Development. The IW desired to return to the union delivery position he had held for over 30 years. He was faced with the prospects of a RTW at a position paying less and with reduced benefits. He was able to secure a full-duty release to RTW after continuing rehabilitation on his own, and did return to the employer of record. He reported that he was grateful for the assistance provided and for the support he felt for his ultimate goal to return to work at his former union job. This file was open for roughly 4 months, at a cost of under $2,500.00.

While this is not the typical success story, the support and encouragement provided to this IW allowed him to ultimately RTW at a position that he wanted, and at no wage loss, which could have been a very real possible outcome.

We at TRIUNE Health Group welcome the opportunity to assist you with a file.
Thursday, March 17, 2016

What Wage Loss?

Ruben Luna was successful in placing a 53-year-old Injured Worker (IW) - A Journeyman Electrician who suffered a right hand and wrist injury resulting in a 10 pound lifting restriction.

Ruben provided Job Seeking Skills Training, and created a resume that conveyed the IW's work history as a foreman and project manager. Ruben also determined that the IW's skills would be greatly enhanced by enrolling in CAD classes. The IW was provided job leads and instructed to contact electrical contractors while attending CAD classes. The IW was hired at $44.80/hour. His current employer commented that the IW has been one of the most productive foremen they have ever employed.

The IW was involved in 8 months of job placement efforts after not working for 5 years. The total cost was just over $12,000 with no anticipated wage loss.


Let us show you what we can do!
Wednesday, March 9, 2016


How medically necessary is a Urine Drug Screen?


Urine drug screens do play a vital part in the plan of care as a  tool to monitor compliance with prescribed substances, identify the use of undisclosed substances, and to uncover a diversion of prescribed substances.


However, unnecessary CPT code charges are being billed in large dollar amounts: $1,200 - $3,000.  Initially, a qualitative screen should be completed. A quantitative screening is not recommended, unless there are inconsistent results. Expensive testing is not helpful or required in the treatment plan.


Let TRIUNE Health Group help you determine if all aspects of a high cost urine drug screen is medically necessary with a Utilization Review.
Tuesday, February 23, 2016


Bilingual Spanish Nurse in Indy - We Got That!


Nurse Case Manager
Bilingual Spanish
 
Jenna received her degree in Nursing from Iowa Central College in Fort Dodge, Iowa. Jenna is a Registered Nurse and Medical Case Manager in Central Indiana. Jenna has Workers' Compensation Case Management experience, including Catastrophic Case Management, with a large, national Case Management Company. Her skilled evaluation of injured workers and the coordination of their care, positively impacts an injured worker's maximum medical improvement and return to work. Jenna's expertise in Indiana Workers' Compensation law has contributed to her being an experienced liaison between injured workers and their families, insurance adjusters, physicians, attorneys, and employers. Jenna has also worked as a Hospice Case Manager, in an Immunization Clinic, and as a Home Infusion Nurse. She has experience in Hospital and Medical Center environments in Cardiac, Neurovascular, Respiratory, Gastro-Intestinal, Surgical, ICU, Wound Care, and Medical Telemetry. Jenna was a Charge Nurse for a Medical Telemetry Unit, a Wound Care Team Member in an ICU Unit, and a Patient Safety Facilitator. Jenna is bilingual in English and Spanish.

Let Us Show You What We Can Do!


Friday, February 5, 2016
Bilingual Spanish Nurse in Chicago
Nancy Schober RN, BA, CCM
Nurse Case Manager

 Please help us welcome our new Team Member!
Nancy is a Registered Nurse and Certified Case Manager. She has experience as a Workers' Compensation Field Case Manager in Illinois. Nancy's solid communication and evaluation skills, together with establishing goal-oriented treatment plans providing timely and appropriate patient care, have resulted in positive and successful return-to-work outcomes. Her relationships and collaboration with injured workers, insurance companies, employers,, and physicians have also provided excellent cost management results. Nancy has worked as a Home Health Case Manager and a Rehabilitation Nurse specializing in Orthopedic and Cardiac Care. In her role as Staff Nurse for a large Nursing and Rehabilitation Center, she served as Supervisor to Staff Nurses and Nursing Assistants. Nancy is a member of the American Nurses Association and the American Heart Association. Nancy is bilingual in English and Spanish.

Monday, February 1, 2016

Tired of Paying for Long Drive Times?
Southern Indiana - We Got That!

Nurse Case Manager
 Ready to serve your Downstate Indiana
Case Management needs.
Kara has a solid background in Medical Case Management and Clinical Nursing. She received her Bachelor of Science degree in Nursing from Purdue University in West Lafayette, Indiana. Kara is a Registered Nurse and Certified Case Manager with a proven track record in assisting injured workers, their employers, and insurance carriers with excellent return-to-work solutions, cost containment, and optimal outcomes. Kara has Hospital-based Nursing experience in the Emergency Department, a Level 1 Trauma Center, Medical/Surgical, Orthopedic, Intensive Care, and Pain Management. Kara's oral and written presentations include Abdominal Trauma, Burn Management, and Cardiology and Cardiac emergencies. She has experience as a Legal Nurse Consultant and as a Charge Nurse in several Hospital environments serving as preceptor and resource for teams of Registered Nurses.  She has also served as Clinical Case Manager for a Home Health Agency.  Kara is licensed in the State of Indiana.
Let us show you what we can do!

Friday, January 22, 2016
Indiana - we've got you covered!

 Our Team of Experienced and Knowledgeable
Nurse Case Managers in Indiana


Dolores Kelly - Jenna Palmer - Kara Dixon - Lisa Miller
Gina Foley - Barb McIntosh


Our Indiana Team Offers:
100+ Years of Combined Experience
Bilingual Spanish
Knowledge of the Best Doctors
Results Driven
 
 Let us show you what we can do!

Friday, January 15, 2016
No Wage Loss Here!



Caroline Ward-Kniaz successfully closed a Job Placement case.  The Injured Worker (IW) was a 31-year-old Tow Truck Driver. He had many restrictions due to a shoulder injury and surgery.

The file was referred 12 months post-injury.

Caroline provided Job Seeking Skills Training, developed several resumes, mock interviews and assistance in completing applications. The IW was encouraged to renew his CDL and obtain a Class A driver's license, which he did. After months of placement activity and motivation, the IW obtained a driving position with a $2.00 increase over his pre-injury wage.

The file was open for only 7 months and there was no reported wage loss. The vocational cost on the file was approximately $9,000.

Let us show you what we can do!